How to treat cervical spondylosis?

Written by Na Hong Wei
Orthopedics
Updated on September 21, 2024
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The treatment of cervical spondylosis is symptomatic, and it is first necessary to determine the type of cervical spondylosis, and then treat it according to its classification. Cervical type cervical spondylosis usually does not require surgery and can be managed with conservative treatment. Nerve root type cervical spondylosis is the most common type seen in clinical practice and responds particularly well to traction therapy. Additionally, oral non-steroidal anti-inflammatory drugs and nerve nutrients can also be used. Spinal cord type cervical spondylosis usually cannot be managed conservatively, or may require surgery after a short period of conservative treatment. This type is the most frequently operated on in clinical practice for cervical spondylosis. The fourth type is the sympathetic nerve type cervical spondylosis, which is very complex to diagnose. It often causes some internal system diseases, such as high blood pressure or heart disease. However, these conditions often improve as the cervical spondylosis improves. The fifth type is vertebral artery type cervical spondylosis, which typically causes symptoms of insufficient cerebral blood supply. Therefore, treatment of cervical spondylosis also requires addressing arteriosclerosis. Mixed type cervical spondylosis refers to the simultaneous occurrence of two types of cervical spondylosis, and treatment involves managing both types concurrently. Thus, the treatment of cervical spondylosis first requires determining the specific type you have and then carrying out symptomatic treatment for that specific type.

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Written by Cheng Bin
Orthopedics
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How to treat cervical spondylosis?

The treatment plan primarily depends on the severity of the patient's cervical spondylosis. If the cervical spondylosis is very severe and there is significant compression on the spinal nerve roots, resulting in symptoms such as pain, numbness, and weakness in the legs, numbness and swelling pain in the arms, abnormal bladder and bowel functions, and evident spinal stenosis, then it is necessary to aggressively pursue surgical treatment. This usually involves the removal of the intervertebral disc, decompression and expansion of the spinal canal, and surgical treatment with intervertebral bone grafting and internal fixation. For cases where the disc herniation is not very large and the neck pain is not very severe, conservative treatment may be chosen. This includes measures like rest and protection, local heat application, and combining therapies such as acupuncture, electrotherapy, cupping, and traction.

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Written by Su Zhen Bo
Orthopedics
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How to treat cervical spondylosis

The patient has cervical spondylosis and can be treated using traditional Chinese medicine methods. For instance, firstly, it's important to advise the patient to minimize the loading activities on the head and neck area and to keep warm. Regular bed rest is beneficial, and local treatment can be applied to the neck using traditional Chinese herbal medicine ion penetration, acupuncture, and moxibustion. These therapies stimulate effective acupuncture points in the neck, which can unblock the muscle meridians, restore normal circulation of qi and blood, and help the neck muscles absorb nutrients, increasing their strength, toughness, and elasticity. These treatments can also enhance the strength and density of the cervical vertebrae, reduce irritation to the spinal cord, nerves, and blood vessels, and alleviate the patient's clinical symptoms. Under the guidance of traditional Chinese medicine methods, manual therapies like massage can significantly relieve clinical symptoms.

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Written by Cheng Bin
Orthopedics
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Hot compress method for cervical spondylosis

Regarding the method of hot compress for cervical spondylosis, there are many methods used clinically. For example, one can actively use a salt bag or a hot water bottle for hot compresses, or use stir-fried bran for hot compresses twice a day, each time for half an hour or more to achieve more obvious effects. The main purpose of hot compress is to promote local blood circulation, thereby effectively improving the clinical symptoms of the patient's cervical spondylosis. Additionally, apart from hot compresses, patients with cervical spondylosis should also avoid bowing their heads for long periods and keep their necks from staying in one position for too long. Try to keep the neck muscles relaxed. Regular activities like swimming, flying kites, or playing badminton can help strengthen the neck muscles, thus better protecting the cervical spine and alleviating the clinical symptoms of cervical spondylosis.

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Written by Cheng Bin
Orthopedics
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Symptoms of cervical spondylosis

The symptoms of cervical spondylosis in clinical practice are relatively complex. Patients with cervical spondylosis typically experience neck pain and discomfort, or stiffness. Furthermore, the patients may suffer from headaches, dizziness, nausea, vomiting, blurred vision, reduced hearing, and numbness, weakness, or swelling pain in the bilateral or unilateral upper limbs. Some patients might also experience palpitations, loss of appetite, unsteady walking, and a sensation of walking on cotton. These are the common clinical symptoms of cervical spondylosis. Usually, the diagnosis of cervical spondylosis requires the support of auxiliary examinations, such as CT scans and MRI of the cervical spine.

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Written by Na Hong Wei
Orthopedics
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Causes of cervical spondylosis

The causes of cervical spondylosis are actually of two types. The first type is intrinsic causes, which refer to the degeneration of the cervical intervertebral disc, a physiological process. Starting from the age of 20, the cervical intervertebral disc begins to degenerate, varying from person to person; some degenerate faster, others slower. However, as one ages, the cervical discs also gradually deteriorate. The second cause is the pathological changes secondary to the degeneration of the cervical intervertebral discs. For instance, after the discs degenerate, it can lead to instability of the cervical spine, formation of osteophytes around it, calcification of ligaments, and instability of small joints, among others. Due to these reasons, it results in a series of pathological changes affecting nearby soft tissues, such as blood vessels, nerves, spinal cord, and sympathetic nerves. This is the definition of cervical spondylosis. Thus, the causes of cervical spondylosis boil down to two main points: first, the degeneration of the cervical intervertebral discs; second, due to this degeneration, it induces other pathological changes such as the formation of peripheral osteophytes, ligament calcification, joint instability, etc., ultimately compressing the surrounding soft tissues, leading to cervical spondylosis.